Duncan J C, Rogers R
University of North Texas, Department of Psychology, Denton, TX, USA.
J Forensic Sci. 1998 Nov;43(6):1133-7.
The safe and effective management of mentally disordered offenders is a paramount concern in decisions for community placement. Treatment effectiveness is often vitiated by medication noncompliance. In the current study, clinical and sociodemographic correlates of treatment compliance were examined in outpatients with schizophrenia. Level of medication compliance, assessed independently by treatment staff at two outpatient settings, resulted in 40 compliant, 38 noncompliant, and 12 partially compliant patients. Key symptoms associated with medication noncompliance were anger, delusions, and hallucinations. As an initial investigation, a stepwise discriminant analysis was moderately successful at predicting medication noncompliance. The implications of these findings to mentally disordered offenders are explored.
对患有精神疾病的罪犯进行安全有效的管理是社区安置决策中至关重要的问题。治疗效果常常因药物治疗依从性差而受到影响。在本研究中，对精神分裂症门诊患者治疗依从性的临床和社会人口学相关因素进行了检查。在两个门诊机构，由治疗人员独立评估药物治疗依从性水平，结果有40名依从患者、38名不依从患者和12名部分依从患者。与药物治疗不依从相关的关键症状是愤怒、妄想和幻觉。作为初步调查，逐步判别分析在预测药物治疗不依从方面取得了一定成功。探讨了这些发现对患有精神疾病的罪犯的意义。
